Average Medicaid Office Visit Payments in Longmont, CO: $81.40
Avg. Paid
$81.40
Range
$0.00 – $210.66
Total Claims
312,768
Providers
272
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Longmont, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elizabeth Mcnally-Pane
2345 Bent Way |
$95.65 | 12 | 12 |
|
Jian-Zhe Cao
1750 E Ken Pratt Blvd Fl 3 |
$61.42 | 12 | 12 |
|
Garrick Mcleod Greear
1925 Mountain View Avenue |
$108.65 | 12 | 12 |
|
Stephanie Caroline Wilson
1551 Professional Ln |
$122.95 | 12 | 12 |
|
Daniel S White
2101 Ken Pratt Blvd Ste 104 |
$43.08 | 13 | 12 |
|
Anthony Richard Declusin
1925 Mountain View Ave |
$93.41 | 13 | 12 |
|
Kelsey James Schuppert
1850 Mountain View Ave |
$56.00 | 13 | 12 |
|
Matthew Edward Velarde
2345 Bent Way |
$63.88 | 13 | 13 |
|
Natalie Julie Morshead
1925 Mountain View Ave |
$92.48 | 13 | 13 |
|
Prachi Toni Patel
2101 Ken Pratt Blvd Ste 104 |
$83.12 | 14 | 13 |
|
Lyle M Pfeifer
1925 W Mountain View Ave |
$37.98 | 14 | 12 |
|
Jason Hatch
1760 E Ken Pratt Blvd Ste 205 |
$115.34 | 14 | 14 |
|
Jalpa B Kim
1925 W Mountain View Ave |
$89.93 | 15 | 15 |
|
Jill Denise Murphey
2345 Bent Way |
$29.25 | 15 | 12 |
|
Kristen Wolfe
1114 Neon Forest Cir Unit 6 |
$53.16 | 15 | 12 |
|
Diane Towako Siegel
1400 Dry Creek Dr |
$73.93 | 16 | 13 |
|
Pierre V Pavot
2030 Mountain View Ave |
$28.95 | 16 | 12 |
|
Hannah Fanucchi
1760 E Ken Pratt Blvd Ste 201 |
$66.78 | 16 | 15 |
|
Laird Peter Cagan
2101 Ken Pratt Blvd |
$70.58 | 16 | 12 |
|
Sabrina D Reed
1551 Professional Ln |
$94.06 | 16 | 14 |
|
Robert E Fitzgibbons
1610 Dry Creek Dr |
$25.65 | 21 | 13 |
|
Luis Elortondo
1508 Aspenwood Ln |
$18.11 | 21 | 12 |
|
Maurisa Shae Taylor
2425 Emery St |
$69.57 | 22 | 15 |
|
Elizabeth A Vorst
1440 Coffman St |
$56.70 | 26 | 16 |
|
Colleen Elizabeth Wallace
600 S Airport Rd Bldg D |
$96.54 | 26 | 13 |
|
Sikora Elizabeth Cain
1750 E Ken Pratt Blvd |
$60.04 | 27 | 27 |
|
Ammie E. Christiansen
601 S Main St |
$59.50 | 29 | 26 |
|
John David Cowden
1750 E Ken Pratt Blvd |
$64.45 | 29 | 29 |
|
Salud Family Health
220 E Rogers Rd |
$0.90 | 32 | 32 |
|
Shahbaz Ahmad Afzal
2030 Mountain View Ave Ste 300 |
$78.96 | 33 | 26 |
|
Adam Justin Rush
1950 Mountain View Ave |
$57.45 | 35 | 31 |
|
Robert Scott Pace
1551 Professional Ln Unit 170 |
$210.66 | 35 | 29 |
|
Wyatt Jason Hall
1950 Mountain View Ave |
$81.20 | 35 | 33 |
|
Laurie Lahr
1760 E Ken Pratt Blvd Ste 301&302 |
$70.88 | 37 | 27 |
|
Mark Bradley Fisher
1925 Mountain View Ave |
$68.78 | 39 | 38 |
|
Jane L Wolford
800 3Rd Ave |
$41.18 | 40 | 34 |
|
Ivan Hiew
2051 Zlaten Dr Apt A203 |
$60.94 | 44 | 43 |
|
Gary James Tackling
1950 Mountain View Ave |
$27.93 | 45 | 39 |
|
Jenifer Leitch
1925 Mountain View Ave |
$59.02 | 49 | 40 |
|
Scot Michael Lewey
1925 Mountain View Ave |
$48.95 | 49 | 24 |
|
Judy Lemmon
1760 E Ken Pratt Blvd Ste 301 |
$50.53 | 51 | 51 |
|
Jerome Landblom
1925 W Mountain View Ave |
$55.55 | 53 | 52 |
|
Heather Michelle Keene
1925 Mountain View Ave |
$55.01 | 57 | 54 |
|
Michael R Martinez
2345 Bent Way |
$87.51 | 61 | 56 |
|
James Timothy Keeling
1309 Sunset St |
$62.00 | 66 | 63 |
|
Kyle Jacob Thompson
1750 E Ken Pratt Blvd Fl 3 |
$120.10 | 68 | 65 |
|
Robert Vincent Nouhan
1925 W Mountain View Ave |
$49.91 | 70 | 65 |
|
Kelly Bourgon
412 Main St |
$58.85 | 70 | 62 |
|
Sunil S Jani
1925 Mountain View Ave |
$59.30 | 70 | 64 |
|
Robert J Janata
1750 E Ken Pratt Blvd |
$63.07 | 73 | 67 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Longmont, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Longmont, CO is $81.40 per claim, based on 312,768 claims from 272 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Longmont, CO?
There are 272 Medicaid providers offering Office Visit related services in Longmont, CO according to public payment data.
What is the price range for Office Visit in Longmont, CO?
Medicaid reimbursement for Office Visit in Longmont, CO ranges from $0.00 to $210.66 per claim, with an average of $81.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Longmont, CO
Substance Abuse Treatment
Avg $22.73
169,528 claims
Behavioral & Mental Health Therapy
Avg $77.23
141,917 claims
Dental Cleaning & Exam
Avg $33.13
131,082 claims
Physical Therapy
Avg $34.06
126,996 claims
Home Health Visit
Avg $46.47
123,767 claims
Psychiatric Evaluation
Avg $72.91
89,463 claims
Non-Emergency Medical Transportation
Avg $51.61
83,788 claims
Blood Work & Lab Tests
Avg $6.01
82,114 claims